Required fields are marked with asterisks (*)

Part-Time Employment Application

Department of Culture and Recreation

We thank all applicants who apply for this position, but only those candidates selected for an interview will be contacted. In accordance with the Municipal Freedom of Information and Protection of Privacy Act, personal information is collected under the authority of the Municipal Act, R.S.O. 2001, and will only be used to determine eligibility for employment. We are dedicated to equal opportunity. Accommodations are available for all parts of the recruitment process. Applicants need to make their needs known in advance.

Please complete the information on this form accurately.

APPLICANT INFORMATION AND EDUCATION

Name (First & Last)

Address

City/Town

Province

Postal

Phone

Position Applying For

Aquatics Team Leader 2

Camp Leader (Summer, Holiday, March Break)

Fitness Attendant

Front Desk Attendant

Group Exercise Instructor (Certified)

Lifeguard/Swim Instructor

Personal Trainer (Certified)

Program Leader/Party Attendant

Education Completed/In Progress

Secondary School

College

University

Other

EXPERIENCE

Please describe previous work experiences (or volunteer experiences) including position(s) held and duties performed.

Name of Organization/Company

Position Held

Dates

Duties Performed

Add Experience

Add Another Work Experience

Attach Resume (Optional)

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Allowed extensions pdf, docx, xlsx, jpg, jpeg, gif, png, tif

Attach Qualifications (Optional)

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SKILLS/INTERESTS

Describe any extracuricular activities.

Describe any Extracurricular Activities (school, volunteer, leadership roles, sports, etc.)

REFERENCES

References must be provided. Please do not include family members as references.
Please inform references they may be contacted by the Town of LaSalle.

1. Name of Reference

1. Phone Number

2. Name of Reference

2. Phone Number

3. Name of Reference

3. Phone Number